IndividualActive
Bill Blalack, RPH
NPI 1194034264 · Pharmacist · Brookhaven, MS
Provider details
- NPI number
- 1194034264
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- Yes
- License
- PD05554 (AR)
Practice location
218 S Whitworth Ave
Brookhaven, MS 39601-3343
Phone: (601) 835-0370
Fax: (601) 835-3376
Mailing address
218 S Whitworth Ave
Brookhaven, MS 39601-3343
Registry dates
- Enumerated
- 2010-10-06
- Last updated
- 2010-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.